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Permit
• clTY O T I GA R D BUILDING PERMIT PERMIT #: BUP2005 -00007 A k DEVELOPMENT SERVICES DATE ISSUED: 1/10/2005 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S102AA -04100 SITE ADDRESS: 12230 SW MAIN ST SUBDIVISION: MORINS ADDITION ZONING: CBD BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: DEM FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: UNK : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: SA1919 IMP SURFACE: PRO CORR: PARKING: VALUE: ,_ _ _ _ Remarks: Der1io of building 13,287sf. Owner: Contractor: INTEGRITY INVESTMENTS INC YORKE + CURTIS 2229 NE BURNSIDE SUITE 86 4480 SW 101ST AVE GRESHAM, OR 97030 BEAVERTON, OR 97005 Phone: Phone: 646 -2123 Reg #: MET 00001990 FEES LIC REQ�0�8 WED INSPECTIONS Description Date Amount Final Inspection [BUILD] Permit Fee 1/10/2005 $62.50 [TAX] 8% State Surchari 1/10/2005 $5.00 Total $67.50 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: SZi_e 13 , ,p Call 639 -4175 by 7 p.m. for an inspection the next business day Buildings m it Appli c CEI � FOR OFFICE USE ONLY City of Tiga�?'d � `" ' DatcB I J © as � / ` lAR_Z_�.r addo ? U Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 IA .1 U t 14 t ? Date /B : Other Permit: Inspection Line: 503.639.4175 ...1.4,, "•I. Date Ready/By: NM El See Attached Checklist for Internet: www.ci.tigard.or.us CT Notified/Method: Supplemental Information jI 'tI�? B -I IVISION't REQUIRED DATA: l- AND 2- FAMILY DWELLING ❑ New construction ® Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION work indicated on this application. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building ❑ Multi- family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 12230 SW Main St. New dwelling area: square feet City/State /ZIP: Tigard, OR Garage/carport area: square feet Suite/bldg. /apt. no.: Project name: Crown Carpet Covered porch area: square feet Cross street/directions to job site: Main Street next door to the post office Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: Lot no.: Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all Tax map /parcel no.: equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. Demo of building because of structural damage. Valuation: $$35,000.00 Existing building area: 21,264 square feet New building area: 23,750 square feet ® PROPERTY OWNER ❑ TENANT Number of stories: 2 Name: Integrity Investments Type of construction: Remodel Address: 6324 NE Halsey Occupancy groups: • City/State /ZIP: Portland, OR 97213 Existing: Phone: (503)287 -6783 Fax: (503)288 -6900 New: ® APPLICANT ❑ CONTACT PERSON NOTICE Business name: Yorke & Curtis, Inc. All contractors and subcontractors are required to be Contact name: Erik Timmons licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 4480 SW 101 ° . Ave. jurisdiction in which work is being performed. If the City /State /ZIP: Beaverton, OR 97070 applicant is exempt from licensing, the following reasons apply: Phone: (503) 646 -2123 Fax: : (503) 643-5531 E -mail: davec @yorkeandcurtis.com CONTRACTOR Business name: Yorke & Curtis, Inc. BUILDING PERMIT FEES* Address: 4480 SW 101st. Ave. Please refer to fee schedule. City/State /Z1P: Beaverton, OR 97070 Fees due upon application Phone: (503) 646 -2123 Fax: (503) 643 -5531 Amount received CCB lic.: 55644 Date received: Authorized signature A� This permit application expires if a permit is not obtained (((((( within 180 days after it has been accepted as complete. Print name: Erik Timmons Date: 1 -10 -05 * Fee methodology set by Tri- County Building Industry Service Board. i:\ Building \Petnits\BUP- PemnitApp.doc 12/03 440- 4613T(li /02 /COM/WEB) ' CITY Of TIGARD BUILDING DIVISION PERMIT #: BUP2005 -00007 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/10/2005 Phone: (503) 639 -4171 .°,u Inspection Requests (24 Hrs.): (503) 639 -4175 ---1.11 %— INSPECTION WORKSHEET FOR DATE: 6/7/2005 TIME: 7:17AM PAGE: 55 SITE ADDRESS: 12230 SW MAIN ST CLASS OF WORK: SUBDIVISION: MORINS ADDITION LOT #: TYPE OF USE: PROJECT NAME: CROWN CARPET DESCRIPTION: Demo of interior of building, 13,287sf, in preparation for remodel and addition. OWNER: INTEGRITY INVESTMENTS INC, PHONE #: CONTRACTOR: YORKE + CURTIS PHONE #: 646 -2123 Inspection Request Scheduled For: Date: 6/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 299 Final inspection 008627 -01 971 - 404 -4501 N Corrections /Comments /Instructions: ' I 4g, 1 • liregErAMBEI: . . W V V NV ■•■ ; i ip _L 1 I ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION LI ADDITI• AL ' ES ASSESSED Inspector: �G /A Date: I / Phone #: (503) 718 - �V